there are endangered species i've seen more in the last year than i have lisa jackson the head of they yay who is a fantastic administrator. >> rose: david brooks, let me go back to the debt problem of which you have said the national debt problem is a medicare problem. what should we do now about health care? >> well, i have my own preferred approach which i have no confidence in which is the premium support approach which is basically what mitt romney -- but say romney loses, there's still another approach proposed by people which basically depends on getting rid of the fee for service system. as long as we're paying for quantity, not quality, we're going to have a problem. and as long as people are unwilling to face end-of-life issues we're going to have a problem and that's a moral national conversation and by the way it's not the people who are dieing who want to spend every last dollar on getting hip replacement when you're 98, it's the families of the people who are dying who don't want to have that unpleasant feeling of guilt that they didn't do everything they could. so those